How much rates vary
Facilitymedian $95 · 10th to 90th $66 to $115Professionalmedian $32 · 10th to 90th $22 to $52
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $26.92 Median $33.11 Typical High $104.71 | Facility | None | $26.92 | $33.11 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $51.29 Typical High $64.57 | Professional | None (both parts) | $29.51 | $51.29 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $16.98 Typical High $21.88 | Professional | 26 · Professional part | $9.77 | $16.98 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $33.88 Typical High $43.65 | Professional | TC · Technical part | $19.95 | $33.88 | $43.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.95 Median $25.12 Typical High $33.11 | Professional | None (both parts) | $19.95 | $25.12 | $33.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.55 Typical High $11.75 | Professional | 26 · Professional part | $7.59 | $9.55 | $11.75 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $19.95 Typical High $24.55 | Professional | TC · Technical part | $13.49 | $19.95 | $24.55 |
BCBS Mississippi Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $104.71 | Facility | None | $95.50 | $95.50 | $104.71 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None (both parts) | $52.48 | $52.48 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $69.18 Typical High $79.43 | Facility | None | $23.99 | $69.18 | $79.43 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $37.15 Typical High $51.29 | Professional | None (both parts) | $27.54 | $37.15 | $51.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $14.45 Typical High $19.05 | Professional | 26 · Professional part | $8.91 | $14.45 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $22.91 Typical High $32.36 | Professional | TC · Technical part | $18.20 | $22.91 | $32.36 |
Molina Setting Professional Modifier None (both parts) Typical Low $8.71 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $8.71 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $109.65 Median $158.49 Typical High $177.83 | Facility | None | $109.65 | $158.49 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $21.88 Median $31.62 Typical High $60.26 | Professional | None (both parts) | $21.88 | $31.62 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.72 Typical High $22.39 | Professional | 26 · Professional part | $8.51 | $10.72 | $22.39 |
United Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $20.42 Typical High $36.31 | Professional | TC · Technical part | $13.49 | $20.42 | $36.31 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 59 · Distinct service | $30.90 | $30.90 | $30.90 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $25.12 Median $25.12 Typical High $29.51 | Professional | XU · Unusual separate service | $25.12 | $25.12 | $29.51 |
Where Mississippi sits
The same service costs 17.0 times more in Vermont than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Mississippi· 39th of 51
$33.11
VT $447FL $26.30
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.